Business Analyst Consultant

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

You believe data can help reshape the future, and you find yourself loving the thrill of diving into challenging analysis. At UnitedHealth Group, you'll find an organization that will recognize those talents and have lots of growth potential. Here, you will be empowered, supported, and encouraged to use your analysis expertise to help change the future of health care.

The Optum Business Analyst Consultant will provide denial management and prevention oversight and guidance to any service area needed. This position is responsible for oversight of systemic trends through deep analytical analysis and facilitating process improvement that will minimize the fiscal impact of denials (including government audits). The Business Analyst Consultant will facilitate regular information sharing with Optum and client leadership. You will work with the Payer and client to review all proposed corrective actions plans and assure all action plans are implemented at the facility level. The role will have direct partnership with Denials and Expected Reimbursement to manage global projects identified through underpayments and Payer claims trending. This requires many meetings with Payers, PSR and collaborative workgroups to ensure cash acceleration and AR reduction of agings greater than 90 days.

You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Prepare and present highly professional monthly Payer JOC and claims calls meeting with client PSR and engaged in settlements using Microsoft PowerPoint, Power BI, and Excel
• Act as project leader for Payer Solutions global initiatives as assigned by leadership
• Review problems to identify root-cause and proper handling of claims from beginning to end of life-cycle
• Identify opportunities for cash acceleration and prevention of Payer trends by collaborating with all departments and partners involved in the revenue cycle service lines
• Collaborate with operational leaders to develop solutions (using Six Sigma DMAIC methodologies)
• Analyze outcomes for trends and areas of opportunity. Triangulate with other Payers or government audit outcomes for both quantitative and qualitative executive summary reporting
• Collaborate with team members to address service area specific issues, barriers to improvements, share information and collaborate toward solutions
• Provide excellent customer service, resources and responsiveness to clients' needs as they relate to denial management activities. Communicate concerns or issues on behalf of the client in relation to Payer performance, with the goal to expedite solutions and client satisfaction
• Work with site stakeholders to facilitate their creation of a corrective action plan to address key issues
• Facilitate operational owners' review of action items during monthly Payer Meetings, denial Meetings with client PSR
• Facilitate effective goal-oriented communication between client and Optum leadership; with the intent to provide meaningful information designed to affect operational changes toward efficiencies in care, improved revenue, and decreased denials and/or audits
• Additional duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 5+ years of experience working with hospitals and operations or clinical professionals
• 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement
• 5+ years of experience creating presentations demonstrating outcomes and presenting in-person or remotely to executive audiences
• 3+ years of experience in Healthcare Revenue Cycle including Payer engagement, PSR, Settlements and Payor Appeals
• 3+ years of experience working with Patient Financial Services, Business Office, Insurance claim billing, Collections, Reimbursement, Patient Access, Coding
• 3+ years of experience in Contractual Payer operations and/or process improvement methodologies
• 3+ years of experience presenting to executive level audiences
• 3+ years of Project Management experience with an understanding of action items, next steps, assignment of tasks, measuring improvement, holding others accountable
• 3+ years of experience with documenting processes and practices (process maps, job aids, instructions)
• 2+ years of experience with government or non-government auditing and reimbursement
• Experience or confident ability to learn Microsoft Visio, Microsoft Power BI, SharePoint
• Advanced with Excel, PowerPoint, Word, Outlook with ability to build reports, presentations, spreadsheets, and process maps
• Ability to telecommute, work independently, and travel to west coast as needed (25-50%)

Preferred Qualifications:

• Six Sigma or Lean Sigma certification, training, or experience
• Demonstrated leadership skills, professionalism, organization, growth, and development of staff
• Demonstrated solid organizational skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.